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Table 2-6

Causes of Positive Rumple-Leeds Capillary Fragility Test

Strongly positive (grade 4)Aplastic anemia
Chronic renal disease
Glanzmann's thrombasthenia
Idiopathic thrombocytopenic purpura (ITP)
Leukemia
Thrombocytopenia caused by acute infectious disease (measles, influenza, scarlet fever)
Moderately positive (grade 3)Hepatic cirrhosis
Slightly positive (grade 2)Allergic and senile purpuras
Decreased estrogen levels
Deficiency of vitamin K, factor VII, fibrinogen, or prothrombin
Dysproteinemia
Polycythemia vera
von Willebrand's disease